Lung Cancer: Medical Treatments

Andrew Lansley: To ask the Secretary of State for Health how many lung cancer patients in each  (a) cancer network and  (b) strategic health authority area received (i) surgical resection, (ii) active, anti-cancer treatment and (iii) radiotherapy in each year since 1997-98.

Tom Watson: I have been asked to reply.
	The information requested falls within the responsibility of the UK Statistics Authority. I have asked the authority to reply.
	 Letter from Karen Dunnell, dated July 2008:
	As National Statistician, I have been asked to reply to your recent Parliamentary Question asking how many lung cancer patients in each (a) cancer network and (b) strategic health authority area received (i) surgical resection, (ii) active, anti-cancer treatment and (iii) radiotherapy in each year since 1997-98.
	The latest year for which data are available on the national cancer registry database, which ONS operates on behalf of the Department of Health, is 2005. Tables 1-3 below show the number of cases of lung cancer, newly diagnosed in each of the years 1997-2005 in the specified geographical areas, receiving (i) surgical, (ii) hormonal and other treatments and (iii) radiotherapy as initial treatments. In 55 per cent of lung cancer cases in the database during the period, either no treatment information was recorded or patients were recorded as having had no treatment. Ten per cent of cases were recorded as receiving more than one treatment.
	
		
			  Table 1: Registrations of newly diagnosed cases of lung cancer( 1)  receiving surgical treatment( 2) , by Strategic Health Authority and Cancer Network( 3) , England, 1997-2005 
			   1997  1998  1999  2000  2001  2002  2003  2004  2005 
			 England 3,339 2,907 3,026 3,000 2,913 2,750 2,701 2,775 3,120 
			   
			  Strategic Health Authority  
			 North East 110 178 180 182 187 209 203 176 229 
			 North West 435 366 402 393 324 244 271 283 418 
			 Yorkshire and the Humber 442 361 370 363 347 370 342 329 310 
			 East Midlands 424 357 362 337 296 262 247 248 207 
			 West Midlands 357 336 337 369 330 325 303 337 377 
			 East of England 311 310 304 299 325 317 309 283 472 
			 London 361 377 362 394 366 366 338 343 354 
			 South East Coast 162 178 157 189 195 188 206 215 202 
			 South Central 266 155 195 173 159 150 160 162 145 
			 Southwest 471 289 357 301 384 319 322 399 406 
			   
			  Cancer network  
			 3 Counties 56 47 60 56 57 59 44 51 51 
			 Anglia 165 161 156 162 146 161 168 162 162 
			 Arden 49 60 60 45 49 44 48 61 56 
			 Avon, Somerset and Wiltshire 148 80 128 90 132 91 97 147 153 
			 Central South Coast 201 73 115 106 116 131 108 137 124 
			 Derby/Burton 61 52 45 55 32 86 55 64 53 
			 Dorset 133 40 53 53 59 50 40 51 63 
			 Essex 50 49 48 36 77 75 77 57 211 
			 Greater Manchester and Cheshire 174 158 157 130 145 143 159 179 194 
			 Greater Midlands 130 117 106 125 123 121 108 128 132 
			 Humber and Yorkshire Coast 104 89 103 78 84 83 75 78 76 
			 Kent and Medway 49 56 51 70 66 66 62 77 80 
			 Lancashire and South Cumbria 73 81 85 78 67 77 78 55 52 
			 Leicestershire Northants and Rutland 108 138 122 139 119 97 91 98 84 
			 Merseyside and Cheshire 178 119 149 162 92 8 17 33 158 
			 Mid Trent 234 150 174 126 124 70 82 80 57 
			 Mount Vernon 83 81 85 77 80 59 51 51 59 
			 North East London 78 71 71 93 90 85 101 78 63 
			 North London 80 111 102 104 79 85 77 71 91 
			 North of England 131 188 196 214 218 233 227 201 251 
			 North Trent 128 122 97 83 105 100 82 65 57 
			 Pan Birmingham 147 128 136 168 124 126 124 117 162 
			 Peninsula 136 127 119 105 137 133 142 157 151 
			 South East London 86 72 64 63 84 76 58 86 90 
			 South West London 63 67 69 80 70 69 59 80 74 
			 Surrey, West Sussex and Hampshire 47 53 58 66 65 54 78 57 52 
			 Sussex 51 56 48 36 46 41 51 58 56 
			 Thames Valley 95 109 104 98 75 43 75 50 37 
			 West London 76 82 74 89 77 89 67 53 86 
			 Yorkshire 225 170 191 213 175 195 200 193 185 
			 (1) Lung cancer is coded to C34 in the International Classification of Diseases Tenth Revision (ICD-10) (2) More than one type of treatment was recorded for some cases. (3) Cancer Network boundaries as at January 2008.  Source: Office for National Statistics 
		
	
	
		
			  Table 2: Registrations of newly diagnosed cases of lung cancer( 1)  receiving hormonal and other treatment( 2) , by Strategic Health Authority( 3) , England, 1997-2005 
			   1997  1998  1999  2000  2001  2002  2003  2004  2005 
			 England 3,166 2,472 2,077 409 381 455 443 368 594 
			   
			  Strategic Health Authority  
			 North East 0 1 0 2 1 3 0 0 0 
			 North West 339 236 9 9 10 5 35 35 14 
			 Yorkshire and the Humber 745 739 639 45 15 27 36 13 27 
			 East Midlands 1,637 1,69 1,129 39 61 83 89 87 100 
			 West Midlands 11 6 17 5 0 2 1 0 10 
			 East of England 62 43 138 155 155 172 156 97 315 
			 London 150 53 114 126 108 125 102 119 112 
			 South East Coast 78 19 31 27 30 37 22 14 16 
			 South Central 30 0 0 1 1 1 1 2 0 
			 South West 114 6 0 0 0 0 1 1 0 
			 (1) Lung cancer is coded to C34 in the International Classification of Diseases Tenth Revision (ICD-10) (2 )More than one type of treatment was recorded for some cases. (3) Provision of Cancer Network figures for this table would entail disproportionate cost since detailed checks would be needed on whether comparison of the low numbers of treatments between the SHA and CN geographies might allow disclosure.  Source: Office for National Statistics 
		
	
	
		
			  Table 3: Registrations of newly diagnosed cases of lung cancer( 1)  receiving radiotherapy treatment( 2) , by Strategic Health Authority and Cancer Networ k( 3) , England, 1997-2005 
			   1997  1998  1999  2000  2001  2002  2003  2004  2005 
			 England 9,229 9,799 9,905 9,309 8,349 7,722 8,008 7,917 7,617 
			   
			  Strategic Health Authority  
			 North East 431 925 963 898 844 760 718 727 759 
			 North West 1,226 1,266 1,538 1,525 1,337 753 983 1,177 1,194 
			 Yorkshire and the Humber 1,128 1,163 1,081 1,072 1,007 952 886 847 831 
			 East Midlands 478 456 560 551 491 450 389 377 343 
			 West Midlands 1,323 1,306 1,209 1,064 934 913 887 890 848 
			 East of England 1,342 1,240 1,217 1,149 1,030 1,112 1,010 1,010 1,028 
			 London 1,574 1,538 1,442 1,467 1,286 1,143 1,161 1,099 945 
			 South East Coast 972 1,049 891 963 827 745 706 681 640 
			 South Central 426 457 516 458 433 531 678 618 500 
			 South West 329 399 488 162 160 363 590 491 529 
			   
			  Cancer network  
			 3 Counties 86 118 100 56 42 31 21 69 118 
			 Anglia 658 626 612 611 490 550 524 541 619 
			 Arden 286 294 268 288 251 271 246 229 189 
			 Avon, Somerset and Wiltshire 191 239 237 74 103 143 256 209 233 
			 Central South Coast 62 91 131 33 40 214 393 299 162 
			 Derby/Burton 49 43 60 39 50 50 38 46 34 
			 Dorset 24 61 124 2 9 52 127 87 102 
			 Essex 341 325 297 279 293 355 310 289 230 
			 Greater Manchester and Cheshire 783 745 802 762 710 198 467 689 580 
			 Greater Midlands 541 501 439 412 350 307 335 329 278 
			 Humber and Yorkshire Coast 275 305 311 303 264 281 284 267 260 
			 Kent and Medway 414 416 376 409 354 302 294 273 218 
			 Lancashire and South Cumbria 374 411 425 455 420 404 402 373 349 
			 Leicestershire Northants and Rutland 285 278 246 246 217 209 167 153 182 
			 Merseyside and Cheshire 21 23 222 206 106 49 29 30 187 
			 Mid Trent 94 97 200 197 189 162 133 131 86 
			 Mount Vernon 301 244 243 223 200 162 149 125 124 
			 North East London 365 309 299 300 250 206 208 168 97 
			 North London 269 259 270 244 231 219 181 193 175 
			 North of England 511 1,053 1,085 1,035 978 894 838 847 871 
			 North Trent 181 162 153 157 124 130 129 124 86 
			 Pan Birmingham 413 385 389 297 276 294 277 295 283 
			 Peninsula 86 87 76 61 39 145 172 100 129 
			 South East London 351 367 318 341 349 318 311 328 298 
			 South West London 298 321 332 354 255 228 251 225 241 
			 Surrey, West Sussex and Hampshire 262 249 180 197 164 152 145 131 121 
			 Sussex 243 290 253 285 242 224 197 236 258 
			 Thames Valley 379 410 459 468 422 364 356 385 381 
			 West London 381 385 344 316 292 255 269 265 225 
			 Yorkshire 705 705 654 659 639 553 499 481 501 
			 (1) Lung cancer is coded to C34 in the International Classification of Diseases Tenth Revision (ICD-10) (2) More than one type of treatment was recorded for some cases. (3) Cancer Network boundaries as at January 2008.  Source: Office for National Statistics